Individual provider · Type 1 NPI
Nicole Gullo, DC
Chiropractor · Staten Island, NY
NPI number
1184716359
Active
Practice location
3770 Richmond Ave
Staten Island, NY 10312-3837
Fax (718) 605-4104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X008155-1 (NY) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1184716359
Nicole Gullo, DC's National Provider Identifier is 1184716359, issued on Sep 28, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Staten Island, NY. The record was last updated on Jul 8, 2007.